Individual
CHARLES M DEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GSW
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722
(225) 683-5292
Mailing address
PO BOX 175, SLAUGHTER, LA 70777-0175
(225) 683-9866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5748
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5748
LA SOCIAL WORKER EXAMINER
LA
Enumeration date
01/18/2007
Last updated
07/08/2007
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